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General NPI Number Information
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NPI Number | 1245057256
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Entity Type | Individual
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Provider Name | NATHALY HERNANDEZ
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Gender | Female
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Dates
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Enumeration Date | 09/21/2024
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 5300 ANGELES VISTA BLVD
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City | VIEW PARK
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State | CA
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Zip | 90043-1648
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Country | US
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Telephone | 213-773-2871
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Fax |
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Provider Business Mailing Address
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Address Line | 1130 E PALMER AVE APT 10
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City | GLENDALE
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State | CA
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Zip | 91205-2534
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Country | US
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Telephone | 818-389-5262
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | CA
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